Theodore A Tanabe, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

39716 Issued in CA

Practice address

13203 Hadley St
101
Whittier, CA 90601-4519

Phone

(562) 698-0387

Fax

(562) 696-7677

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theodore a Tanabe DDS a Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Whittier, CA
  • NPI 1730489014
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1982625372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 HADLEY ST",
            "address_2": "101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014519",
            "telephone_number": "562-698-0387",
            "fax_number": "562-696-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 HADLEY ST",
            "address_2": "101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014519",
            "telephone_number": "562-698-0387",
            "fax_number": "562-696-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANABE",
        "first_name": "THEODORE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "39716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Talmich, LCSW
• Jennifer Tam, LCSW
• Wayne Tam, PHARM.D
• Shokouh Tamadon, MD
• Alfred Tamir, D.D.S
• Leia Binh Tang, PA-C
• Trien Trey Tang
• William Michael Tannyhill, D.D.S.
• Tantra Djaya D.D.S Inc.
• Anita Chih-I Tao, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Whittier, CA
• Providers in Whittier, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.